Organization
LAKES REGIONAL MENTAL HEALTH MENTAL RETARDATION CENTER
Active
Other names
Lakes Regional Community Center
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE WAYNE VAUGHN (CHIEF EXECUTIVE OFFICER)
(972) 388-2000
Entity
Organization
Contact information
Practice address
400 AIRPORT RD, TERRELL, TX 75160-4302
(972) 524-4159
(972) 563-5321
Mailing address
PO BOX 747, TERRELL, TX 75160-0014
(972) 524-4159
(972) 524-1002
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10001427
AMERIGROUP GRP
TX
05
—
121988304
—
TX
05
—
121988305
—
TX
01
—
126278
VO GRP
TX
01
—
126813
SUPERIOR GRP
TX
01
—
CK7759
PALMETTO GRP
TX
01
—
LAKES-001
COMPCARE GRP
TX
Enumeration date
12/04/2006
Last updated
04/15/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us